Skip to main content
Log in

A comparison of therapies which may influence trace metals in rheumatoid arthritis

  • Originals
  • Published:
Clinical Rheumatology Aims and scope Submit manuscript

Summary

Forty-five patients with active rheumatoid arthritis (RA) were treated with D-Penicillamine (DPA), zinc sulphate or trien for 24 weeks. Clinical and biochemical assessments were made on eight occasions during the treatment period. Results supported the view that DPA is efficacious causing both clinical and biochemical improvement, whereas zinc sulphate provided clinical benefit in some patients without improving the biochemistry, and trien was ineffective in both respects. The results indicate the need for more thorough investigations of the effect of drugs on trace metal distribution in RA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Friedman, M. Chemical basis for pharmacological and therapeutic actions of penicillamine. Proc Roy Soc Med, 1977, 70, Suppl. 3, 50–60.

    PubMed  CAS  Google Scholar 

  2. Sarker, B., Sass-Kortsak, A., Clarke, R., Laurie, S.H., Wei, P. A comparative study of in vitro and in vivo interaction of D-penicillamine and triethylenetetramine with copper. Proc Roy Soc Med, 1977, 70, Suppl. 3, 13–18.

    Google Scholar 

  3. Huskisson, E.C., Gibson, T.J., Balme, H.W., Berry, H., Berry, H.C., Grahame, R., Hart, F.D., Henderson, D.R.F., Wojtulewski, J.A. Trial comparing D-penicillamine and gold in rheumatoid arthritis. Ann Rheum Dis, 1974, 33, 532–535.

    Article  PubMed  CAS  Google Scholar 

  4. Sorenson, J.R.J., Hangarter, W. Treatment of rheumatoid and degenerative diseases with copper complexes. Inflammation, 1977, 2, No. 3, 217–238.

    Article  PubMed  CAS  Google Scholar 

  5. Menkes, C.J., Job, C., Delbarre, F. Traitment de la Polyarthrite Rheumatoide par le sulphate de zinc par os. La Nouv Presse Med, 1978, 7, 760.

    CAS  Google Scholar 

  6. Simkin, P.A. Oral zinc sulphate in rheumatoid arthritis. Lancet, 1976, 2, 539–542.

    Article  PubMed  CAS  Google Scholar 

  7. Job, C., Menkes, C.J., Delbarre, F. Zinc sulphate in the treatment of rheumatoid arthritis. Arthritis Rheum, 1980, 23, 1408–1409.

    Article  PubMed  CAS  Google Scholar 

  8. Mattingly, P.C., Mowat, A.G. Zinc sulphate in rheumatoid arthritis. Ann Rheum Dis, 1982, 41, 456–457.

    Article  PubMed  CAS  Google Scholar 

  9. Menkes, C.J., Job, C., Buneaux, F., Delbarre, F. Treatment of rheumatoid arthritis by zinc sulphate. Results of a double blind test. Rev Rhum Mal Osteoartic, 1981, 48, 223–227.

    PubMed  CAS  Google Scholar 

  10. Dixon, J.S., Bird, H.A., Pickup, M.E., Wright, V. A human model screening system for the detection of specific antirheumatic activity. Semin Arthritis Rheum, 1982, 12, No. 2, 185–190.

    Article  PubMed  CAS  Google Scholar 

  11. Dixon, J.S., Pickup, M.E., Lowe, J.R., Hallett, C., Lee, M.R., Wright, V. Discriminatory indices of response of patients with rheumatoid arthritis treated with D-penicillamine. Ann Rheum Dis, 1980, 39, 301–311.

    Article  PubMed  CAS  Google Scholar 

  12. Chvapil, M. New aspects in the biological role of zinc: a stabiliser of macromolecules and biological membranes. Life Sci, 1973, 13, 1041–1049.

    Article  PubMed  CAS  Google Scholar 

  13. Yamamoto, K., Takahashi, M. Inhibition of the terminal stage of complement mediated lysis (reactive lysis) by zinc and copper ions. Int Arch Allergy appl Immunol, 1975, 48, 653–663.

    PubMed  CAS  Google Scholar 

  14. Karl, L., Chvapil, M., Zukoski, C.F. Effect of zinc on the viability and phagocytic capacity of peritoneal macrophages. Proc Soc Exp Biol Med, 1972, 142, 1123–1127.

    Google Scholar 

  15. Ambanelli, U., Ferraccioli, G.F., Serventi, G., Vaona, G.L. Changes in serum and urinary zinc induced by ASA and indomethacin. Scand J Rheumatol, 1982, 11, 63–64.

    Article  PubMed  CAS  Google Scholar 

  16. Johnstone, J.J., Bitensky, L., Cashman, B., Chayen, J. The effect of zinc on alkaline phosphatase activity in rheumatoid synovial tissue. Ann Rheum Dis, 1978, 37, 552–556.

    Article  PubMed  CAS  Google Scholar 

  17. Ahler, J. The mechanism of hydrolysis of B-glycerophosphate by kidney alkaline phosphatase. Biochem J, 1975, 535–546.

  18. Bird, H.A., Rhind, V., Leatham, P., Saunders, A., Wright, V. Enteric-coated aspirin in rheumatoid arthritis. Rheumatol Rehabil, 1981, 20, 116–121.

    Article  PubMed  CAS  Google Scholar 

  19. Lipsky, P.E., Ziff, M. Inhibition of human helper T-cell function in vitro by D-penicillamine and CuSO4. J Clin Invest, 1980, 65, 1069–76.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dixon, J.S., Bird, H.A., Surrall, K.E. et al. A comparison of therapies which may influence trace metals in rheumatoid arthritis. Clin Rheumatol 3, 451–457 (1984). https://doi.org/10.1007/BF02031267

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02031267

Key words

Navigation